Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $378.76 / $378.76 / $410.45	Facility	54	$378.76	$378.76	$410.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $505.01 / $667.48	Professional		$409.00	$505.01	$667.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.30 / $625.47 / $704.16	Professional		$461.30	$625.47	$704.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $207.85 / $207.85	Facility		$207.85	$207.85	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.27 / $631.76 / $852.53	Professional		$454.27	$631.76	$852.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.25 / $633.54 / $1,676.40	Facility		$484.25	$633.54	$1,676.40
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,572.54 / $1,572.54 / $1,572.54	Facility	54	$1,572.54	$1,572.54	$1,572.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $449.31 / $595.47 / $3,926.40	Professional		$449.31	$595.47	$3,926.40
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.07 / $550.79 / $779.57	Professional		$433.07	$550.79	$779.57